Devoted Agent Certification Model of Care 2024 updated

Which types of Medicare Advantage plans need to submit a Model of Care? - CORRECT ANSWER-Only Special Need Plans (SNPs) Who creates the requirements for a Model of Care? - CORRECT ANSWER-CMS (the federal government) Compared to members just on Medicare, dual eligibles are more likely to - CORRECT ANSWER-A + B (Be younger than 65 and Be older than 85) Compared to individuals just on Medicare, dual eligibles are more likely to: - CORRECT ANSWER-Both A + B (Have 6 or more chronic conditions and Have behavioral health or substance abuse challenges) Individuals over 75 are more likely to have cardiac conditions than individuals under 75? - CORRECT ANSWER-TRUE African Americans, Hispanics, and American Indians have lower rates of diabetes than the general population? - CORRECT ANSWER-FALSE Which age group of Medicare members has the highest rates of diabetes related hospital events? - CORRECT ANSWER-Those under 65 What are some of the ways Devoted tries to do a Health Risk Assessment (HRA) with SNP members? - CORRECT ANSWER-- Sales agents and brokers after a prospect completes an application - Service guides during a welcome call - A mailed HRA How often does Devoted have to do a HRA with SNP members? - CORRECT ANSWER-- Within 90 days of when the member enrolls - Every 365 days since the last HRA Health Risk Assessment results are used to build the care plan for SNP members? - CORRECT ANSWER-TRUE Every SNP member has an individualized care plan for them? - CORRECT ANSWERTRUE Which of the following is almost always part of the SNP member's care team? - CORRECT ANSWER-The member's PCP If you're not on the member's care team, can you work with or help out that SNP member? - CORRECT ANSWER-Yes Providers seeing SNP members also have to do Model of Care training? - CORRECT ANSWER-TRUE Which of the following are ways providers can ask for help from Devoted with their patients or learn how they're doing? - CORRECT ANSWER-- Devoted's provider portal - Telephonic, email, and fax outreach - Joint Operating Committee (JOC